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Alternative Treatments for IBS: Can Hypnosis Help Heal Your Gut?

In Pelvic Health by Lisa ThompsonLeave a Comment

By: Lisa Thompson Irritable bowel syndrome (IBS) is considered a functional gastrointestinal disorder. The Rome Foundation defines IBS as when a person has chronic abdominal pain at least one day per week in the last three months combined with at least two of the following: abdominal pain related to having a bowel movement; abdominal pain onset is associated with change …

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The Ankle Bone is Connected to the Pelvic Floor Muscle Function

In Pelvic Floor Dysfunction by Shannon PacellaLeave a Comment

By: Shannon Pacella With Halloween just occuring, I had been seeing skeleton decorations everywhere and it got me thinking about anatomy. Cue the ‘Dem Bones’ song we sang as kids – “the knee bones connected to the thigh bone, the thigh bones connected to the hip bone,” the ankle bones connected to the pelvic floor…wait, I didn’t think that’s how …

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Managing Life on or after “The Pill”

In Female Pelvic Pain, Pelvic Health by Jandra MuellerLeave a Comment

  By: Jandra Mueller If you are a female reader of our blog, have experienced painful intercourse, and happened to have come to the Pelvic Health and Rehabilitation Center (PHRC) for treatment, then you are probably familiar with our talk about how systemic birth control like oral contraceptives (OCPs) or “The Pill,” may be the underlying culprit. The pill is …

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Part 2 of 2: What is a good pelvic PT session like?

In Pelvic Health by Katie Hunter1 Comment

By: Katie Hunter Last week, in Part 1 of What is a good pelvic PT session like,  we described what a pelvic floor physical  therapy evaluation consists of and how we go about developing an assessment and setting goals to help our patients get better. This week we dive deeper into pelvic floor physical therapy treatment plans, patient education, and …

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Part 1 of 2: What is a good pelvic PT session like?

In Pelvic Health by Katie Hunter2 Comments

By: Katie Hunter Pelvic Health and Rehabilitation Center is proud to announce that we now have eight locations across the country. Our newest locations include Walnut Creek, CA, Bedford, NH and Westlake Village, CA. We pride ourselves on our constant commitment to give the best possible care for our patients. Patients suffering from long-standing pelvic conditions are often shuffled around …

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How Pelvic Floor Physical Therapy Can Serve the Transgender/Gender Non-conforming Population: Part 2

In Transgender Health by Shannon PacellaLeave a Comment

By: Elizabeth Akincilar Last week, Shannon Pacella, DPT, taught us how physical therapy can benefit transgender individuals prior to gender affirming surgery and for those who choose not to undergo gender affirming surgery. You can read her blog here. This week, I present Part two, where I will explain why physical therapy for transgender individuals after gender affirming surgery should …

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How Pelvic Floor Physical Therapy Can Serve the Transgender Population: Part 1

In Transgender Health by Elizabeth Akincilar-Rummer2 Comments

By: Shannon Pacella Earlier this summer, Dr. Heidi Wittenberg wrote a blog post enabling medical providers to understand transgender healthcare needs, which you can read here. Following Dr. Wittenberg’s lead, I was fortunate enough to attend an educational course focused on the physical therapy evaluation and treatment of transgender patients, and I believe it is imperative to convey how important …

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Fistula: The other F Word

In Pelvic Floor Dysfunction by Kim BuonomoLeave a Comment

Image by: erpete By: Kim Buonomo When I was asked to write a blog article, I wasn’t sure what topic I should write about. I read a lot of our previous articles for inspiration and realized a couple things: 1) The women who work here really know their stuff about the pelvic floor; and 2) No one has written an …

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Mindfulness Meditation: Is it actually effective for treating chronic pain?

In Female Pelvic Pain, Male Pelvic Pain by Stephanie Prendergast1 Comment

  By Elizabeth Akincilar   Mindfulness meditation. Even if you’re not exactly sure what it is, I’m going to bet you’ve heard of it. It has gotten a lot of attention recently. It’s everywhere. It’s not like the mediation of 20 years ago. Back then meditation was considered “alternative” or  “fringe” that few people practiced, especially in western countries. Now, …

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Sex Therapy and CBT for Pain with Sex

In Female Pelvic Pain by Nicole DavisLeave a Comment

  By Nicole Davis   In 2012, The Journal of Sexual Medicine published an article, What we don’t talk about when we don’t talk about sex: results of a national survey of U.S. obstetrician/gynecologists. The results from the survey revealed that though Ob/gyns routinely (63%) assess their patients’ sexual activities, only 40% of them ask their female patients about sexual …

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Polycystic Ovary Syndrome: what everyone needs to know

In Female Pelvic Pain by Malinda WrightLeave a Comment

  By: Malinda Marshall   Do you know what the most common cause of female infertility is? Polycystic ovary syndrome, also known as PCOS. It is estimated that 15-20% of women will be diagnosed with PCOS at some point in their lives.1 It is the most common endocrine (hormone) disorder for women of reproductive age.2 Approximately 90-95% of women with anovulation …

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The Pelvic Health and Rehabilitation Center Turns 12!

In Pelvic Floor Dysfunction by Stephanie PrendergastLeave a Comment

  By: Stephanie Prendergast   On July 17th, 2006,  Liz and Stephanie opened the doors to the Pelvic Health and Rehabilitation Center in San Francisco. Their mission was to improve the quality of life of their patients and to contribute to the dynamic growth of their employees and students.  They aspired to educate the community and medical professionals about pelvic …

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Antenatal and Postpartum Pelvic Floor Physical Therapy as Standard of Care

In Pregnancy and Postpartum Pelvic Health by Stephanie Prendergast3 Comments

  By Dr. Ann Croghan, PT, DPT, CLC, and CAPP-OB trained with introduction by Stephanie Prendergast, MPT   A few months ago I shared a link to an article I was interviewed for in Men’s Health Magazine about postpartum sex on our PHRC Facebook Page. I was disappointed there was not better coverage about postpartum pelvic floor physical therapy in …

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Vulvodynia, Vestibulodynia, and Vaginismus: what’s the difference and why does it matter?

In Vulvodynia by Stephanie PrendergastLeave a Comment

  By Stephanie Prendergast   As many as 28% of women experience painful sex at some point during their reproductive years and that sucks. Knowledge is power and May is Pelvic Pain Awareness Month so we want to provide women with useful information about the three most common diagnoses associated with painful sex: vulvodynia, vaginismus, and vesitbulodynia. Differentiating between these …

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Childbirth Medical Interventions and Pelvic Floor Dysfunction

In Pregnancy and Postpartum Pelvic Health by Natalie Christopherson2 Comments

  By Natalie Christopherson   As a pregnant woman and pelvic floor physical therapist, I am surrounded by stories, advice, and opinions about the right way to give birth. Most of us know that pregnancy and childbirth often result in trauma to the pelvic floor and perineum, which can lead to incontinence, pelvic organ prolapse, and painful sex, among other …

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Posture Revisited: Sitting and the Pelvic Floor

In Pelvic Floor Dysfunction by Nicole Davis3 Comments

Photo via Joe Loong via Flickr   By Nicole Davis   In previous entries, Britt beautifully took us through all things posture (Posture and the Pelvis Part One and Part Deux). Here are some important takeaways from her posts to consider as we explore how sitting may affect your pelvic floor:   The diaphragm, trunk (back extensors, transversus abdominis, obliques, etc.) …

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Vaginismus: Real Answers for Sexual Pain

In Female Pelvic Pain by Jandra MuellerLeave a Comment

  By Jandra Mueller   Vag·i·nis·mus /ˌvajəˈnizməs/   Noun noun: vaginismus painful spasmodic contraction of the vagina in response to physical contact or pressure (especially in sexual intercourse).   What is vaginismus?   Above is the definition that comes up when you google vaginismus. You may have seen blogs or posts on social media about vaginismus or painful sex or …

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The Most Proven IC Treatment: Pelvic Floor Physical Therapy

In Female Interstitial Cystitis / Painful Bladder Syndrome, Male Interstitial Cystitis / Nonbacterial Chronic Prostatitis / Chronic Pelvic Pain Syndrome by Stephanie Prendergast4 Comments

  By Guest Blogger Nicole Cozean, PT, DPT, WCS and author of The Interstitial Cystitis Solution   Pelvic floor physical therapy is the most proven treatment for interstitial cystitis. It’s the only therapy given an evidence grade of ‘A’ by the American Urological Association and recommended in the first line of medical treatment. But patients often wonder how does treating …

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Autonomic Dysregulation in Functional Gastrointestinal Disorders

In Female Pelvic Pain, Male Pelvic Pain by Melinda FontaineLeave a Comment

  By Melinda Fontaine     At the 3rd World Congress on Abdominal and Pelvic Pain organized by the International Pelvic Pain Society, Professor Qasim Aziz spoke about Autonomic Dysregulation in Functional Gastrointestinal Disorders. Qasim Aziz, MBBS, FRCP, PhD is Professor of Neurogastroenterology at Barts and The London School of Medicine and Dentistry at Queen Mary, University of London. Professor …